PROGRESS REPORT: QUARTER 2 & 3 ANNUAL PERFORMANCE PLAN 2014/15

PORTFOLIO COMMITTEE ON HEALTH PROGRESS REPORT: QUARTER 2 & 3 ANNUAL PERFORMANCE PLAN 2014/15 NATIONAL DEPARTMENT OF HEALTH 18 MARCH 2015

Purpose • Present Progress Report (Quarter Two & Three 2014/15 & April to December 2014) on the Annual Performance Plan 2014/15. The report is presented by the following programmes: • Programme 1 : Administration • Programme 2: Health Planning and Systems Enablement • Programme 3: HIV & AIDS, TB and MCWH • Programme 4: PHC Services • Programme 5: Hospitals, Tertiary Services and Workforce Development • Programme 6: Health Regulation and Compliance Management

Medium Term Strategic Framework (MTSF) 2014-2019 The Department Annual Performance Plan is designed to deliver on the MTSF commitments, namely: Sub-outcome 1: Universal Health coverage progressively achieved through implementation of National Health Insurance Sub-outcome 2: Improved quality of health care Sub-outcome 3. Implement the re-engineering of Primary Health Care Sub-outcome 4: Reduced health care costs Sub-outcome 5: Improved human resources for health Sub-outcome 6: Improved health management and leadership Sub-outcome 7: Improved health facility planning and infrastructure delivery Sub-outcome 8: HIV & AIDS and Tuberculosis prevented and successfully managed Sub-outcome 9: Maternal, infant and child mortality reduced Sub-outcome 10 : Efficient Health Management Information System developed and implemented for improved decision making

Progress Rating 1. Green = target has been achieved, exceeded, almost been achieved or is likely to be achieved by the stipulated times . 2. Amber =Target could possibly be achieved by the stipulated time or substantial progress has been made towards meeting the target. 3. Red= No substantial progress towards meeting the target 4. Blue= System for measuring the indicator not yet in place. Source: Department of Performance Monitoring, 22 October 2014

Progress Report PROGRAMME 1 : ADMINISTRATION

Programme 1: Administration

Addressing Challenges: Programme 1 Poor response in the submission plans to address AG findings are addressed during Provincial Financial Bilateral Review visits with provinces

Progress Report PROGRAMME 2 : HEALTH PLANNING AND SYSTEMS ENABLEMENT

Programme 2: National Health Insurance, Health Planning and Systems Enablement

Addressing Challenges: Programme 2 • The drafting of the NHI Bill and consequential gazetting can only be undertaken once the White Paper on NHI is approved by Cabinet. Discussions have been initiated with the National Treasury regarding the finalization of the White Paper on NHI and its submission to Cabinet. • The establishment of fora are linked to the processes to be pronounced in terms of the White Paper for NHI. • The gazette introducing the finalised logistics fee legislations was withdrawn due to contestation by the logistics providers. • The review of SEP Adjustment formula were not introduced yet. This is ensure industry stakeholders have more time to consider technical aspects that would inform their submissions • The completion of reviews of the Essential Medicines List has been affected by two vacant positions of a Pharmaceutical Policy Specialist and Senior Pharmaceutical Policy Specialist. In addition, nominations were received late for the appointment of members to the Paediatric Expert Review Committee.

Progress Report PROGRAMME 3 : HIV AND AIDS, TUBERCULOSIS , MATERNAL, CHILD AND WOMEN’S HEALTH

Programme 3: HIV and AIDS, TB and Maternal Child and Women’s Health

Addressing Challenges: Programme 3 • Demand for male medical circumcision services seem to have declined. Data from partners are being streamlined into DHIS. • With regard to couple year protection rate, the Department has introduced implants which has improved uptake substantively • The process to rectify the data on HIV testing 15-49 years is underway. Data from partners is being streamlined into NDoH DHIS • Performance on some TB indicators were affected by delays in finalization of Global Funidng contracts, Service Level Agreements and the subsequent late disbursements of funds to sub sub-recipients. The sub-recipients are calso implementing catch-up plans on training of TB tracing coordinators in the fourth quarter. • Low screening coverages among learners were as a result of the second round of Human Papiloma Virus immunisation campaign conducted from 29 September and 31 October 2014. All school nurses were assigned to administer HPV immunisation.

Progress Report PROGRAMME 4 : PRIMARY HEALTH CARE SERVICES

Programme 4: Primary Health Care Services

Addressing Challenges: Programme 4 • The development of an implementation plan for the Ideal Clinic Realisation and Maintenance (ICRM) is part the Operational Phakisa. The provinces are at different stages of establishing Permanent Teams for Ideal Clinics Realization and Maintenance. Training of the teams has commenced in the NHI pilot districts and this training will be extended to all 52 districts in the country starting in the first quarter of 2015/16 financial year. Web based monitoring software for ICRM is being rolled out to all clinics in the country • The establishment of the national Health Commission is pending as it is closely linked to the NHI processes. • Campaign data on people counseled and screened for high blood pressure and raised blood glucose levels will be collected and reported by provinces in the fourth quarter this will improve current figures.

Progress Report PROGRAMME 5 : HOSPITALS, TERTIARY SERVICES AND WORKFORCE DEVELOPMENT

Programme 5: Hospitals, Tertiary Services and Workforce Development

Addressing Challenges: Programme 5 • A joint submission to initiate engagement and support from Ministers of Health and Higher Education regarding NDoH and Nursing Council role is being discussed with DHET. • The OHSC has prioritized to conduct unannounced inspections in in Central Hospitals namely Steve Biko, Charlotte MaXeke, Inkosi Albert Luthuli, Universitas, Groote Schuur and Tygerburg Hospitals before the end of fourth quarter of 2014/15 to assess compliance with the National Core Standards

Progress Report PROGRAMME 6 : HEALTH REGULATION AND COMPLIANCE MANAGEMENT

Programme 6: Health regulations and Compliance Management

PROGRESS REPORT: QUARTER 2 & 3 ANNUAL PERFORMANCE PLAN 2014/15